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    OpenPayerNPI Medicare & MedicaidDept Of Health, Govt Of Vi Ems St Thomas
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    Dept Of Health, Govt Of Vi Ems St Thomas — Billing Profile & Reimbursement Data

    NPI 1427471580 · St. Thomas, VI · Land Ambulance

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    Dept Of Health, Govt Of Vi Ems St Thomas is a land ambulance provider located in St. Thomas, U.S. Virgin Islands. This profile covers 0 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationDept Of Health, Govt Of Vi Ems St Thomas
    Address9048 Sugar Estate 4th Floor
    CitySt. Thomas
    StateVI
    ZIP00802
    TaxonomyLand Ambulance
    NPI EnumeratedJanuary 27, 2014

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1.5M
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and $1.5M in lifetime Medicaid revenue, so its billed activity is effectively single-payer (Medicaid) in scale rather than split across Medicare and Medicaid. Analysts should treat Medicaid reimbursement trends and policy changes as the primary drivers of this entity's revenue performance.

    Revenue is highly concentrated in a very small code set: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with A0427 alone representing $1.3M (90.6% of Medicaid revenue) and A0425 contributing $137.8K (9.4%). This concentration means a handful of line items determine nearly all cash flow reported to Medicaid.

    Code-level mix and the Land Ambulance taxonomy indicate this operation is a ground advanced life support emergency transport service: A0427 is listed as "Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)", and its $299 avg paid/claim is consistent with ALS-level emergency interventions rather than non-emergent transport. The dominance of A0427 suggests clinical and operational capacity focused on emergency ALS responses.

    Claim volumes for A0427 (4.5K claims) and A0425 (4.4K claims) are nearly identical, implying that most billed ALS emergency transports include associated ground mileage charges on a near one-to-one basis. The $31 avg paid/claim for A0425 indicates mileage is billed consistently alongside ALS transports rather than as an occasional, separate service.

    Competitive standing for the primary revenue driver A0427 is modest statewide: it ranks #2 of 2 providers in-state and is reported at the 0th percentile with a plain-English label of "typical, unremarkable volume." This ranking suggests the provider is not the dominant ALS emergency transport provider in-state and appears to be the smaller of the two billing entities for this code.

    For the mileage code A0425 the provider ranks #2 of 3 in-state and is at the 50th percentile with a label of "typical, unremarkable volume," positioning it as a mid-ranked participant among in-state peers for ground mileage billing. That middling rank indicates it competes with several peers for routine mileage reimbursement rather than leading the market.

    The extreme concentration of Medicaid revenue in two ground-ambulance codes creates operational and financial sensitivity: any change to reimbursement rates, medical necessity interpretation, or coding guidance for A0427 or A0425 could materially affect reported revenue given these codes collectively account for 100.0% of Medicaid income. Analysts should monitor state Medicaid policy and provider audit activity specific to ALS emergency transports and mileage.

    The NPI was enumerated on 2014-01-27 (~12 years ago), indicating an established presence in the market. Combined with the narrow code mix and the small in-state peer group, this tenure suggests a stable but specialized operation rather than a large multi-service ambulance network.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)4,450$300$1.3M
    A0425Ground mileage, per statute mile4,440$30$137.8K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other U.S. Virgin Islands providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. U.S. Virgin Islands median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)2105,520$300$1.7M
    A0425Ground mileage, per statute mile2104,440$30$126K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Dept Of Health, Govt Of Vi Ems St Thomas, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Department Of Health, Ems StxVILand Ambulance$0$2.2M
    Department Of HealthVIAmbulatory Family Planning Facility$0$1.3M
    Dept Of Health, Government Of The Virgin IslandsVIPublic Health or Welfare Agency$0$1.2M
    Department Of Health, Govt Of Vi/mch Clinic Elaine CoVIPublic Health or Welfare Agency$0$407.4K
    Department Of Health, Rls Community Health CenterVIPublic Health or Welfare Agency$0$328.1K
    Marc JeromeVIGynecology Physician$186.2K$0
    Michelle DizonVIEndocrinology, Diabetes & Metabolism Physician$92.2K$0
    Tai HunteVIInfectious Disease Physician$15.9K$8.7K
    Jozette MatthewsVIFamily Nurse Practitioner$13.9K$0
    Jong ParkVIEmergency Medicine Physician$9K$0

    Nearby Providers

    Other providers in the same ZIP code as Dept Of Health, Govt Of Vi Ems St Thomas, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Duanne JonesVIPublic Health Dentistry$0$33.2M
    Vi Government Hospital And Health Facilities CorpVIGeneral Acute Care Hospital$0$23.6M
    The St Thomas East End Medical Center CorporationVIFederal Public Health Clinic/Center$0$12.8M
    Aac-air Ambulance Caribbean Inc.VIAir Ambulance$2M$8.6M
    Vi Relocation Services And Rentals LLCVILand Ambulance$0$6.8M
    Alicia PrenticeVIHome Health Aide$0$3.9M
    Stretcher Plus, LLCVINon-emergency Medical Transport (VAN)$0$2.8M
    Cog Restore, LLCVIRehabilitation Clinic/Center$0$2.1M
    Vi Oral Surgery, IncVIOral and Maxillofacial Surgery (Dentist)$0$1.4M
    Comprehensive Orthopedics LLCVISpecialist$0$1.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. U.S. Virgin Islands Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. U.S. Virgin Islands Distribution
    Dept Of Health, Govt Of Vi Ems St Thomas — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — U.S. Virgin Islands